{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T18:50:58Z","timestamp":1778007058611,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Side-to-end hypoglossal\u2013facial nerve transfer (HFT) is an established facial reanimation technique. However, evidence regarding predictors of outcomes is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate predictors of facial and tongue outcomes after HFT in a large series of patients with facial palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of 64 patients undergoing side-to-end HFT was conducted. Additional masseteric nerve transfer and\/or cross-facial nerve grafting were performed in selected cases. Facial outcomes were evaluated with the House\u2013Brackmann (HB) scale, the Sunnybrook Facial Grading System, and eFACE. Tongue outcomes were assessed using Martin\u2019s scale and Oral and Pharyngeal Disability Index. Multivariate regression analyses identified independent associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      HB grade III or IV was achieved in 95.3% of patients. Significant improvements were observed in all facial function scales (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Tongue function was preserved in 98.4%. Patient-reported scores indicated good perceived oral\u2013pharyngeal outcomes (79.3, interquartile range = 67.9\u201387.4). Higher age predicted poorer facial (\u03b2 = \u22120.303,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.009) and tongue (\u03b2 = \u22120.371,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.006) outcomes. Delayed recovery onset correlated with worse facial results (\u03b2 = \u22120.389,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001). Double nerve reinnervation was associated with better facial outcomes (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This technique offers effective facial reanimation with minimal tongue morbidity. Older age and delayed recovery onset were associated with poorer outcomes, supporting tailored surgical strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26893614251371714","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T17:58:29Z","timestamp":1759255109000},"page":"423-430","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prognostic Factors of Facial and Tongue Functional Outcomes Following Side-to-End Hypoglossal\u2013Facial Nerve Transfer: A 20-Year Multidisciplinary Experience"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9992-0215","authenticated-orcid":false,"given":"Teresa","family":"Mato-Patino","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"PhD Program in Medicine and Surgery, Autonomous University of Madrid (UAM), Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Manuel","family":"Morales-Puebla","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."},{"name":"Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"S\u00e1nchez-Cuadrado","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Pe\u00f1arrocha Ter\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1520-7292","authenticated-orcid":false,"given":"Jos\u00e9","family":"Suazo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Gonz\u00e1lez-Otero","sequence":"additional","affiliation":[{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."},{"name":"Department of Maxillofacial Surgery, La Paz University Hospital, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borja","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."},{"name":"Department of Neurosurgery, La Paz University Hospital, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Gavil\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8260-4523","authenticated-orcid":false,"given":"Luis","family":"Lassaletta","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, La Paz University Hospital, Madrid, Spain."},{"name":"Research Group in Otoneurosurgery, Hospital La Paz Institute for Health Research \u2013 IdiPAZ, Madrid, Spain."},{"name":"Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III, Madrid, 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